摘要
过去数十年,液体复苏在急性胰腺炎早期治疗中具有重要作用,是急性胰腺炎早期治疗的基石。急性胰腺炎病人对液体治疗的反应有较大的差异性,目前急性胰腺炎尚无统一的早期液体复苏方案。复苏过程中须关注以下几个问题:如何选择液体、如何控制复苏总量以及如何评估复苏效果。急性胰腺炎早期液体复苏时,应优先选择晶体液进行快速补液,坚持早期目标导向治疗的液体复苏理念,密切监测临床指标以评估补液效果,及时调整液体复苏的速度与总量,进而提高急性胰腺炎整体治疗效果。
In the past decades, clinical researches have showed that fluid resuscitation plays an very important role in the early management of acute pancreatitis, which is considered as the cornerstone of early clinical management. Patients with acute pancreatitis have so large difference reaction with fluid therapy that there are many controversies in early fluid resuscitation. There are few topics should be concerned： how to choose the liquid, how to dominate the total volume of resuscitation and how to evaluate the effect of resuscitation. Crystalloid fluid is preference for rapid fluid resuscitation in the early stage of acute pancreatitis, insisting on the principle of early goal-directed therapy, assessing the effect of fluid resuscitation with regular monitoring relevance clinical indicators, adjusting the speed and the volume of fluid resuscitation so as to improve the overall treatment effect ofacute pancreatitis.
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第2期171-174,共4页
Chinese Journal of Practical Surgery
基金
国家自然科学基金资助项目(No.81100314
No.81170431
No.81370565
No.81372613)
高等学校博士学科点专项基金(No.20122307110012)
卫生公益性行业科研专项经费资助项目(No.201202007)
中国博士后科学基金(No.2012M510991)
关键词
急性胰腺炎
液体复苏
acute pancreatitis
fluid resuscitation
